| Entity Name: | WELLNESS MEDICAL CLINIC AND GERIATRIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 May 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 11 Oct 2004 (20 years ago) |
| Document Number: | P01000052459 |
| FEI/EIN Number | 651106712 |
| Address: | 12741 MIRAMAR PARKWAY,, BUILDING 2, SUITE 104, MIRAMAR, FL, 33027 |
| Mail Address: | 12741 MIRAMAR PARKWAY,, BUILDING 2, SUITE 104, MIRAMAR, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033395041 | 2008-01-21 | 2011-11-30 | 12741 MIRAMAR PKWY, BUILDING 2, SUITE 104, MIRAMAR, FL, 330272903, US | 12741 MIRAMAR PKWY, BUILDING 2, SUITE 104, MIRAMAR, FL, 330272903, US | |||||||||||||||||||
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| Phone | +1 954-392-9993 |
| Fax | 9543925559 |
Authorized person
| Name | DR. YAVIR M. ESCOVAR |
| Role | PHYSICIAN |
| Phone | 9543929993 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME73704 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ERAZO PATRICIA E | Agent | 12741 MIRAMAR PARKWAY,, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| ERAZO PATRICIA | President | 12741 MIRAMAR PARKWAY, BLD. 2, SUITE 104, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| ESCOVAR YAVIR | Vice President | 12741 MIRAMAR PARKWAY, BLD. 2, SUITE 104, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-04-11 | 12741 MIRAMAR PARKWAY,, BUILDING 2, SUITE 104, MIRAMAR, FL 33027 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-06-22 | ERAZO, PATRICIA E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-06-22 | 12741 MIRAMAR PARKWAY,, BUILDING 2, SUITE 104, MIRAMAR, FL 33027 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-27 | 12741 MIRAMAR PARKWAY,, BUILDING 2, SUITE 104, MIRAMAR, FL 33027 | No data |
| AMENDMENT | 2004-10-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
